Aga Khan University, Karachi, Pakistan.
Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
J Pak Med Assoc. 2022 Feb;72(Suppl 1)(2):S81-S85. doi: 10.47391/JPMA.AKU-16.
Oncoplastic breast surgery is based on the concept of tumour-specific immediate reconstruction. It combines both local and distant techniques to maintain breast texture, symmetry and cosmesis without compromising oncological outcome. The current narrative review was planned to highlight the current state and future of oncoplastic breast surgery in low- and middle-income countries where its utilisation in surgical practice remains insubstantial because majority of the surgeons who are treating breast cancer are either general surgeons or breast surgeons who do not have expertise in oncoplastic breast surgery or reconstructive surgery. Moreover, scarcity of financial resources, ignorance about oncoplastic breast surgery techniques, disfigurement distress and cultural taboos coerce women to hide in the shadows with their breast disease. Oncoplastic breast surgery needs more exposure in a developing country like Pakistan. There is a need to establish dedicated oncoplastic breast surgery training centres, fellowship programmes, workshops, and webinars to incorporate such techniques in the practice of breast surgeons.
肿瘤整形乳房手术基于肿瘤特异性即刻重建的概念。它结合了局部和远处的技术，在不影响肿瘤学结果的情况下，保持乳房的质地、对称性和美观。本综述旨在强调在中低收入国家中，肿瘤整形乳房手术的现状和未来，因为在这些国家中，该手术在外科实践中的应用仍然很少，因为治疗乳腺癌的大多数外科医生要么是普通外科医生，要么是没有肿瘤整形乳房手术或重建手术专业知识的乳腺外科医生。此外，由于缺乏财政资源、对肿瘤整形乳房手术技术的不了解、毁容的困扰和文化禁忌，迫使妇女隐瞒自己的乳房疾病。肿瘤整形乳房手术在巴基斯坦这样的发展中国家需要更多的关注。有必要建立专门的肿瘤整形乳房手术培训中心、研究员计划、研讨会和网络研讨会，将这些技术纳入乳腺外科医生的实践中。
